Leonard Fazio, D.D.S., P.C

NPI 1194863134 · on the registry since 2007 · sole proprietor

Practice

Address: 1303 Main St
The Pen And Pencil Building Suite 2
Port Jefferson, NY 11777
Phone: (631) 474-7477
Fax: (631) 474-7427
Organisation at this address: Just You And Eye Opt Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 2

Registry record

Primary taxonomy: 1223G0001X
1223G0001X
Licence states on file: NY
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New York